CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Brandon Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,164
Cash Discount Price: $5,496
vs. Medicare Baseline: 13.09x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Brandon Hospital is $1,164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,496. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.09x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$5,496

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,164

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $5,496 (6182%)

Insurance Median: $1,164 (1309%)

Cash: $5,496 (6182% of Medicare)

Ins. Median: $1,164 (1309% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1309% of the Medicare baseline (a markup of 1209%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Access 2 Healthcare Physicians Freedom Optimum Group Members	$172 - $344	193%
United	$182 - $3,295	205%
Access 2 Healthcare Physicians Freedom Health	$264 - $527	297%
Access 2 Healthcare Physicians Optimum	$264 - $527	297%
Freedom Health Care	$286 - $571	322%
Optimum Healthcare	$286 - $571	322%
Avmed	$293 - $1,831	330%
Corvel Corporation	$411	462%
Rockport Healthcare Group	$411	462%
Prime Health	$420	472%
Simply Healthcare	$565 - $1,128	635%
Molina	$697 - $1,977	784%
Evolutions Healthcare Systems	$844 - $6,737	949%
Sunshine State Health Plan	$935 - $1,867	1052%
Humana	$1,027 - $2,050	1155%
Aetna	$1,100 - $2,197	1237%
Beacon Health Options	$1,834 - $3,662	2063%
Plotkin Health	$1,834 - $3,662	2063%
Prime Health Sheriff	$1,834 - $3,662	2063%
Multiplan	$2,751 - $6,225	3094%
Evernorth	$2,934 - $5,859	3300%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $5,496.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Brandon Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.